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Thilo C

1 reviews | Active since Jun 2011

14 Jun 2022, 11:55

USELESS MEDICAL AID, APPALLING SERVICE

*** From 27/05/2022 to date, I'm still awaiting authorization for a procedure that was scheduled 10/06/2022. So guess what, I lost that booking because my medical aid was not there to provide medical care when I need it! After checking all the boxes with communication to and fro from hospital benefit management, now they sent another comment. "Kindly confirm if there was any pain relief that lasted 12 weeks prior procedure"

Help me understand this stupid comment! Would a specialist request a procedure that helps alleviate pain if there was another wonder treatment on the market that worked for me??? Would you ignore the doctors report from the DBC program managed by Bonitas? What is wrong with Bonitas, is it so broken and bankrupt that you cannot help its members? Or does Bonitas and its staff earning billions that they don't care to lose members? Would you rather your members be reliant on pain meds and doctor visits because thats how Bonitas makes money as a business?

As for this platform, I thought they here to help and follow up but weeks later I'm still left without authorization!

0
Replies (7)
Bonitas Medical Fund
Bonitas Medical Fund's reply14 Jun 2022, 12:14
Official
Hello Thilo C
Thank you for notifying us of your complaint. We are so sorry to hear about this, we are glad that you brought this to our attention to resolve. We will investigate this matter.  We appreciate your patience while we are resolving this query for you. 
 Kind Regards

Bonitas Team

TC
Thilo C's update14 Jun 2022, 12:25
Reviewer Update
I also brought this to your attention 2 weeks ago and nothing happened! Seems people at authorisations work at a snails pace, instead of saving lives they rather people die! I already wasted 90 minutes of my airtime going from pillar to post the last few weeks and got nowhere! This generic reply means nothing until its actually resolved and I have a case manager contacting me and an authorisation number provided!
Bonitas Medical Fund
Bonitas Medical Fund's reply14 Jun 2022, 13:59
Official
Hello Thilo C
Thank you for notifying us of your complaint.  We sincerely apologise for the delay and the inconvenience. Hospital benefit management will be in contact with you.  We appreciate your patience while we are resolving this query for you. 
 Kind Regards

Bonitas Team
TC
Thilo C's update14 Jun 2022, 14:13
Reviewer Update
I've been waiting weeks for someone at hospital benefit management to call me! My patience has run out! Will they call today, tomorrow, next year?
Bonitas Medical Fund
Bonitas Medical Fund's reply15 Jun 2022, 07:20
Official
Hello Thilo C

Thank you for notifying us of your complaint. 
We have requested information from the doctor but we have not yet received it.

Kindly note that the medical advisors cannot proceed with review without that information.

We appreciate your patience while we are resolving this query for you. 
 Kind Regards

Bonitas Team
TC
Thilo C's update15 Jun 2022, 10:22
Reviewer Update
Now that's a blatant lie or terrible miscommunication within Bonitas! Knowing they'll never call, I phoned and spoke to Tshabi and she was handling the case. All documents and information requested were received from the doctor, they were awaiting my comments which she captured on the system! I was told yesterday at 3pm it'll 8 hours for the file to go through its process.

I'm still waiting!!!
Bonitas Medical Fund
Bonitas Medical Fund's reply17 Jun 2022, 08:10
Official
Hello Thilo C

Thank you for notifying us of your complaint. 

We confirm that the hospital authorisation has been approved and the correspondence has been sent to all.

We sincerely apologise for the delay and the inconvenience.

Kind Regards

Bonitas Team